Features of cataract surgery in a public health institution during a pandemic

Purpose. To assess the effectiveness of the KGBUZ «KKOB» in the context of the pandemic of the new coronavirus infection COVID-19 using the example of cataract surgery. Material and methods. Based on regulatory documents aimed at preventing the spread of COVID-19, internal orders were issued that regulated the work of our institution. The actions of the clinic's services were regulated when a building was converted into a «covid hospital», as well as when employees of the institution were transferred to work in a covid hospital. Results. New rules for organizing and conducting medical and diagnostic procedures have been developed. The number of cataract surgeries decreased in 2020 and in the first half of 2021. The duration of the stay of patients with cataracts in a round-the-clock hospital decreased, amounting to 3 days. The waiting times for surgical treatment of cataracts have remained practically unchanged. Conclusion. Despite significant changes in the work of the clinic during the COVID-19 pandemic, the level of surgical treatment for cataracts has decreased slightly. Thanks to the measures taken to reconfigure the processes, it was possible to keep the work of the institution at an acceptable level. Key words: cataract surgery, COVID-19 pandemic.

Composition of the conjunctive microflora of the patients before outbulatory cataract surgery

Purpose. Study of the composition of the conjunctival cavity in healthy patients before elective outpatient cataract surgery. Material and methods. The contents of the conjunctival cavity were examined in 30 patients who were admitted to the ophthalmological departments of the Kirov Clinical Ophthalmological Hospital for the surgical treatment of cataracts as planned. Results. The growth of microflora was detected in 100% of the studied patients when examining crops from the conjunctiva. Most of the identified microorganisms are representatives of the normal microflora of the human skin and mucous membranes. Conclusion. 1. The structure of the conjunctival microflora in patients before elective cataract surgery has a wide spectrum – aerobes (Staphilococcus aureus, Staphilococcus epidermidis) and anaerobes (Propionibacterium granulosum), gram-positive (Corinebacterium spp.) and gram-negative (Klebsiella sp., E. coli, Pseudomonas aeruginosa) microorganisms, as well as fungi of the genus Candida. 2. The most common representatives of the conjunctival cavity microflora are Candida fungi (72.4%), E. coli (65.5%), Enterococcus sp. (55.2%), Klebsiella sp. (55.2%), Strp.pyogenes (51.7%), which should be taken into account when prescribing antibacterial therapy in the pre – and postoperative period. Key words: cataract surgery, conjunctival microflora.